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Maryland rates for HCPCS L5611

Addition to lower extremity, endoskeletal system, above knee (AK), knee disarticulation, four-bar linkage, with friction swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.57 / $1,030.75 / $1,730.18
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,037.00 / $1,083.71 / $1,321.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $1,226.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $895.54 / $1,226.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.66 / $1,933.80 / $2,784.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.09 / $1,017.28 / $1,529.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.16 / $1,170.16 / $1,353.66